Basic Information
Provider Information
NPI: 1851584254
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AL-NASER
FirstName: LAURIE
MiddleName: A.
NamePrefix:  
NameSuffix:  
Credential: CRT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 24366
Address2:  
City: SEATTLE
State: WA
PostalCode: 981240366
CountryCode: US
TelephoneNumber: 2065980502
FaxNumber: 2065980516
Practice Location
Address1: 1959 NE PACIFIC ST
Address2: CAMPUS BOX 356522
City: SEATTLE
State: WA
PostalCode: 981950001
CountryCode: US
TelephoneNumber: 2062216505
FaxNumber: 2066858673
Other Information
ProviderEnumerationDate: 08/20/2007
LastUpdateDate: 08/20/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
227800000XLR00000502WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified 

No ID Information.


Home